The first experience of injecting of bulking agents in mild stress incontinence in reproductive age women

Introduction. Stress urinary incontinence is one of the common forms of urinary incontinence in women. This disease occurs at all ages with a population incidence, according to various sources, of 29% to 75%. The traditional surgery of choice is the implantation of a free synthetic loop, which is accompanied by a number of complications. The injection of volume-forming substances is considered as an alternative for the treatment of stress urinary incontinence in elder patients, somatically burdened patients or if a patient refuses surgery. The aim of the study: to evaluate the efficacy and safety of injectable suburethral volume-forming substances in a mild stress urinary incontinence in women of reproductive age. Materials and methods. The results of the volume-forming substances use in patients with stress urinary incontinence were studied. Patients were randomized to the main (n = 37) and control (n = 42) groups. In both groups, a series of exercises were taken to strengthen the pelvic floor muscles, patients from the main group were additionally injected suburethrally with a volume-forming substance. Control examinations were performed after three and six months. Results. Local sensations after the injection of volume-forming substance were minimal, managed on their own. After 3 months in the main group, the proportion of patients with the achieved state of the continent was 91.9% versus 64.3% in the control group (p = 0.019), after 6 months, 97.3% and 78.5% (p = 0.027), respectively. Six months later, the posterior urethrovesical angle in patients in the main group decreased from 130.6 ° to 102.4 ° (p function show_eabstract() { $('#eabstract1').hide(); $('#eabstract2').show(); $('#eabstract_expand').hide(); }